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Individual

TAMMY MARIE KIRTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
8115 E INDIAN BEND RD, STE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
18207 N 34TH DR, PHOENIX, AZ 85053-1013
(602) 971-0607

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1728
AZ

Other

Enumeration date
09/08/2008
Last updated
09/08/2008
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